HESI EXIT EXAM MODULE 1. QUESTIONS & ANSWERS. WITH RATIONALE

Questions 1.
ID: 0
A nurse is providing information to a group of pregnant clients and their partners about the psychosocial development of an infant. Using Erikson's theory of psychosocial development, what should the nurse tell the group about the infants? 
 A Rely on the fact that their needs will be met Correct B Need to tolerate a great deal of frustration and discomfort to develop a healthy personality C Must have needs ignored for short periods to develop a healthy personality D Need to experience frustration, so it is best to allow an infant to cry for a while before meeting his or her needs 


Rationale: According to Erikson’s theory of psychosocial development, infants struggle to establish a sense of basic trust rather than a sense of basic mistrust in their world, their caregivers, and themselves. If provided with consistent satisfying experiences that are delivered in a timely manner, infants come to rely on the fact that their needs are met and that, in turn, they will be able to tolerate some degree of frustration and discomfort until those needs are met. This sense of confidence is an early form of trust and provides the foundation for a healthy personality. Therefore the other options are incorrect. Test-Taking Strategy: Eliminate the option that contains the closed-ended word "must." Eliminate the options that are comparable or alike and indicate that experiencing frustration is necessary. Review: Erikson’s theory of psychosocial development as it relates to the infant. Reference: McKinney, E., James, S., Murray, S., Nelson, K. & Ashwill, J. (2013). Maternal-child nursing (4th ed., pp. 74-75). St. Louis: Elsevier. Level of Cognitive Ability: Applying Client Needs: Health Promotion and Maintenance Integrated Process: Teaching and Learning Content Area: Developmental Stages Giddens Concepts: Development, Reproduction HESI Concepts: Developmental, Sexuality/Reproduction Awarded 1.0 points out of 1.0 possible points. 




 2.
ID: 7
A nurse is weighing a breastfed 6-month-old infant who has been brought to the pediatrician's office for a scheduled visit. The infant's weight at birth was 6 lb 8 oz. The nurse notes that the infant now weighs 13 lb. Which action should the nurse take? 
 A Tell the mother that the infant's weight is increasing as expected Correct B Tell the mother to decrease the daily number of feedings because the weight gain is excessive